PeriOp Exam

Question 1

what are the 6 concepts of perioperative care

Answer 1

coping
tissue integrity
ethical and legal practice
safety
perfusion
teamwork and collaboration

Question 2

what are the 3 phases of perioperative care

Answer 2

pre
intra
post

Question 3

pre

Answer 3

post

Question 4

intra

Answer 4

mid

Question 5

post

Answer 5

after

Question 6

what are the 6 different surgical purposes

Answer 6

diagnosis
cure
palliation
prevention
cosmetic
exploration

Question 7

determination of the presence/extent of a pathologic condition

Answer 7

diagnosis

Question 8

elimination or repair of a pathologic condition

Answer 8

cure

Question 9

alleviation of symptoms without a cure

Answer 9

palliation

Question 10

cause something from getting worse

Answer 10

prevention

Question 11

personal preference

Answer 11

cosmetic

Question 12

surgical examination to determine the nature or extent of a disease

Answer 12

exploration

Question 13

what are the 5 categories of surgery

Answer 13

emergent
urgent
required
elective
optional

Question 14

requires immediate attention; may be life threatening, without delay

Answer 14

emergent

Question 15

requires prompt attention, within 24 hrs

Answer 15

urgent

Question 16

needs to have surgery, plan within a few weeks or months

Answer 16

required

Question 17

should have surgery, failure to have surgery not catastrophic

Answer 17

elective

Question 18

decision rests with patient, personal preference

Answer 18

optional

Question 19

severe bleeding, bladder/intestinal obstruction, fractured skull, gunshot or stab wound, extensive burn

Answer 19

emergent

Question 20

acute gallbladder infection, kidney or ureteral stones

Answer 20

urgent

Question 21

prostatic hyperplasia w/o obstruction, thyroid disorders, cataracts

Answer 21

required

Question 22

repair of scars, simple hernia, vaginal repair

Answer 22

elective

Question 23

cosmetic surgery

Answer 23

optional

Question 24

what should a nurse need to know before the operation

Answer 24

whats going on with the patient
what the pt feelings are about the procedure
lab work b4 pt goes back
risks and complications a person could have during operation

Question 25

what are the 9 nursing assessment goals

Answer 25

1. determine psychologic status 2. determine physiologic factors 3. establish baseline data 4. identify and document surgical site 5. identify meds and herbs taken that may affect surgical outcome 6. identify and document and communicate results of laboratory/diagnostic test 7. identify cultural and ethnic factors that may affect surgical experience 8. determine receipt of adequate info from surgeon to sign informed consent 9. determine info consent and that informed consent form is signed and witnessed

Question 26

what part is a controlled environment

Answer 26

surgical suite

Question 27

what part are personnel in street clothes interact with those in scrubs

Answer 27

unrestricted areas

Question 28

what is the waiting area inside/adjacent to surgical suite

Answer 28

holding area

Question 29

what area is the pt documentation taken, diagnostic tests, and site marked

Answer 29

holding area

Question 30

what is the area that is peripheral support areas and corridors with only authorized staff; must wear surgical attire/cover all head and facial hair

Answer 30

semirestricted area

Question 31

area that is geographically, environmentally, and bacteriologically controlled

Answer 31

operating room

Question 32

who are the members of the surgical team

Answer 32

circulating nurse, scrub nurse, surgeon, surgeons assistant, RN first assistant, anesthesiologist and the patient

Question 33

the perioperative (circulating nurse)

Answer 33

remains in unsterile field, not scrubbed, gowned, or gloved, also documents

Question 34

what does the circulating nurse do

Answer 34

makes sure everyone in sterile case stays sterile gets room ready serves as patient advocate gives pt the best dignity that we can

Question 35

follows designated scrub procedure, gowned and gloved in sterile attire, remains in sterile field, passes instruments during procedure, supervised by RN

Answer 35

scrub nurse/surgical tech

Question 36

can be a physician, RN, or PA who functions in assisting role; holds retractors, assists with homeostasis and suturing, may perform portions of procedure under direct supervision

Answer 36

Surgeons assistant

Question 37

must have formal education, works collaboratively with the surgeon, patient, and surgical team, handles tissues, uses instruments, provides exposure to surgical site, assists with homeostasis, performs suturing

Answer 37

registered nurse first assistant

Question 38

administers anesthesia, anesthesiologist or nurse anesthetist, maintenance of physiologic homeostasis, prescribes preoperative meds, monitors cardiac and resp status throughout procedure

Answer 38

anesthesia care provider

Question 39

what 6 things do you need before the surgery

Answer 39

H&P, UA, CBC, Lytes, CXR, EKG

Question 40

what are the 4 safety considerations

Answer 40

fire, smoke, universal protocol, surgical timeout

Question 41

what helps from burning the pt during the procedure

Answer 41

grounding patch (place on fattest part of patient)

Question 42

who prepares the surgical site

Answer 42

circulating nurse

Question 43

what are the steps in a surgical timeout

Answer 43

Check ID band and birthdate state surgical procedure (LorR) Patient allergies and allergy band make sure antibiotics are hanging make sure all special equipment is in room x ray for correct body part is in the room

Question 44

who calls a timeout

Answer 44

RN (circulating nurse)

Question 45

what is the point of a timeoout

Answer 45

legal document responsible by the nurse and is to avoid wrong surgery on the wrong body part

Question 46

why is the surgical count important

Answer 46

to make sure nothing is left inside pt

Question 47

how many are in each ray tech

Answer 47

10

Question 48

how many are in each lap

Answer 48

5

Question 49

what is taken after the procedure to make sure nothing was left in pt

Answer 49

xray

Question 50

who does the surgical count

Answer 50

people scrubbed in and the circulating nurse